Displaying 14871-14880 of 1611142 results.
ID:
14871
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
14872
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
14873
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14874
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14875
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14876
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14877
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14878
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14879
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14880
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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