Displaying 15011-15020 of 1611142 results.
ID:
15011
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15012
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15013
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15014
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15015
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15016
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15017
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15018
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15019
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15020
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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