Displaying 14601-14610 of 1611142 results.
ID:
14601
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14602
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14603
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14604
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14605
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
14606
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
14607
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14608
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14609
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14610
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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