Displaying 15081-15090 of 1611142 results.
ID:
15081
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15082
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15083
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
15084
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
15085
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
15086
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15087
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15088
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15089
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15090
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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