Displaying 14901-14910 of 1611142 results.
ID:
14901
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14902
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14903
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14904
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14905
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14906
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14907
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
14908
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14909
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
14910
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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