Displaying 14481-14490 of 1611142 results.
ID:
14481
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14482
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14483
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14484
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14485
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14486
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14487
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14488
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14489
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14490
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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