Displaying 14411-14420 of 1611142 results.
ID:
14411
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14412
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14413
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14414
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
14415
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14416
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14417
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14418
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14419
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14420
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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