Displaying 13671-13680 of 1611142 results.
ID:
13671
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13672
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13673
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13674
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13675
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13676
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13677
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13678
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13679
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13680
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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