Displaying 13971-13980 of 1611142 results.
ID:
13971
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13972
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13973
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13974
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13975
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13976
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13977
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13978
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13979
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13980
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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