Displaying 13741-13750 of 1611142 results.
ID:
13741
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13742
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13743
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13744
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
13745
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13746
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13747
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13748
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13749
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13750
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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