Displaying 14421-14430 of 1611142 results.
ID:
14421
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14422
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14423
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14424
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14425
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14426
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14427
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14428
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14429
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14430
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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