Displaying 14801-14810 of 1611142 results.
ID:
14801
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14802
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
14803
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
14804
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
14805
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
14806
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14807
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14808
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14809
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14810
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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