Displaying 13901-13910 of 1611142 results.
ID:
13901
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13902
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13903
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13904
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13905
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13906
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13907
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13908
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13909
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13910
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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