Displaying 13701-13710 of 1611142 results.
ID:
13701
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
13702
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
13703
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13704
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13705
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13706
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13707
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13708
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13709
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13710
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
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