Displaying 8621-8630 of 1611142 results.
ID:
8621
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8622
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8623
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8624
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8625
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8626
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8627
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8628
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8629
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8630
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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