Displaying 14231-14240 of 1611142 results.
ID:
14231
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14232
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14233
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14234
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
14235
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14236
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14237
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
14238
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
14239
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14240
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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