Displaying 14561-14570 of 1611142 results.
ID:
14561
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14562
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14563
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14564
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14565
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14566
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14567
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14568
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14569
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14570
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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