Displaying 13751-13760 of 1611142 results.
ID:
13751
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13752
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13753
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13754
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13755
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13756
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13757
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13758
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
13759
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
13760
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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