Displaying 14081-14090 of 1611142 results.
ID:
14081
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14082
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14083
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14084
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14085
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14086
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14087
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14088
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14089
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14090
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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