Displaying 13731-13740 of 1611142 results.
ID:
13731
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13732
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13733
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13734
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13735
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13736
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13737
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13738
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13739
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13740
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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