Displaying 14821-14830 of 1611142 results.
ID:
14821
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14822
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14823
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14824
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14825
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14826
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
14827
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
14828
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
14829
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
14830
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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