Displaying 14201-14210 of 1611142 results.
ID:
14201
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14202
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14203
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14204
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14205
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14206
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14207
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
14208
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
14209
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14210
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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