Displaying 13721-13730 of 1611142 results.
ID:
13721
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13722
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13723
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13724
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13725
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13726
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13727
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13728
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13729
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13730
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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