Displaying 14531-14540 of 1611142 results.
ID:
14531
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14532
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14533
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14534
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14535
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14536
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14537
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
14538
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
14539
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14540
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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