Displaying 13681-13690 of 1611142 results.
ID:
13681
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13682
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13683
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13684
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13685
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13686
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13687
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13688
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13689
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13690
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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