Displaying 14991-15000 of 1611142 results.
ID:
14991
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14992
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14993
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14994
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
14995
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14996
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14997
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14998
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
14999
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15000
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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