Displaying 13911-13920 of 1611142 results.
ID:
13911
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13912
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13913
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
13914
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13915
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13916
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13917
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13918
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13919
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13920
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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