Displaying 13631-13640 of 1611142 results.
ID:
13631
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13632
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13633
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13634
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13635
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13636
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13637
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13638
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13639
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13640
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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