Displaying 14091-14100 of 1611142 results.
ID:
14091
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14092
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14093
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14094
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14095
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
14096
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14097
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14098
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14099
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14100
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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