Displaying 13881-13890 of 1611142 results.
ID:
13881
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13882
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13883
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13884
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13885
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13886
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13887
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13888
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13889
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13890
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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