Displaying 13921-13930 of 1611142 results.
ID:
13921
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13922
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13923
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13924
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13925
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13926
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13927
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13928
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
13929
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13930
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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