Displaying 1361-1370 of 1611142 results.
ID:
1361
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
1362
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
1363
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1364
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1365
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1366
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1367
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1368
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1369
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1370
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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