Displaying 14881-14890 of 1611142 results.
ID:
14881
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14882
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14883
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14884
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
14885
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
14886
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
14887
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
14888
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14889
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14890
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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