Displaying 13711-13720 of 1611142 results.
ID:
13711
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
13712
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13713
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13714
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13715
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13716
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13717
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13718
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13719
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13720
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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