Displaying 14511-14520 of 1611142 results.
ID:
14511
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
14512
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14513
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14514
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
14515
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
14516
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
14517
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14518
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14519
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14520
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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