Displaying 14291-14300 of 1611142 results.
ID:
14291
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14292
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14293
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14294
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14295
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14296
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14297
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14298
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14299
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14300
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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