Displaying 14891-14900 of 1611142 results.
ID:
14891
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14892
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
14893
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14894
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14895
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14896
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14897
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14898
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
14899
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14900
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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