Displaying 14381-14390 of 1611142 results.
ID:
14381
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14382
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14383
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14384
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14385
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14386
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14387
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14388
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14389
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14390
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
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