Displaying 15001-15010 of 1611142 results.
ID:
15001
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15002
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15003
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
15004
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15005
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15006
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15007
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15008
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
15009
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15010
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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