Displaying 15051-15060 of 1611142 results.
ID:
15051
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15052
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15053
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15054
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15055
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15056
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15057
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15058
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
15059
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15060
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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