Displaying 14791-14800 of 1611142 results.
ID:
14791
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
ID:
14792
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14793
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14794
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14795
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14796
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14797
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14798
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
14799
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
14800
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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