Displaying 13691-13700 of 1611142 results.
ID:
13691
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13692
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
13693
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13694
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13695
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13696
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13697
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13698
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13699
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13700
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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