Displaying 14141-14150 of 1611142 results.
ID:
14141
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14142
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14143
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14144
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14145
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14146
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14147
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14148
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
14149
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14150
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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