Displaying 14131-14140 of 1611142 results.
ID:
14131
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14132
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14133
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14134
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14135
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14136
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14137
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
14138
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14139
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14140
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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