Displaying 14611-14620 of 1611142 results.
ID:
14611
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
14612
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14613
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14614
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14615
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14616
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14617
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14618
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14619
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14620
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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