Displaying 13931-13940 of 1611142 results.
ID:
13931
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13932
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13933
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
13934
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13935
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13936
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
13937
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
13938
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13939
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13940
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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