Displaying 15071-15080 of 1611142 results.
ID:
15071
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15072
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15073
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15074
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15075
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15076
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15077
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15078
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
15079
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15080
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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