Displaying 14401-14410 of 1611142 results.
ID:
14401
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14402
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14403
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14404
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14405
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14406
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14407
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14408
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14409
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14410
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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