Displaying 13651-13660 of 1611142 results.
ID:
13651
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13652
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13653
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13654
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13655
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13656
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13657
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13658
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13659
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13660
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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