Displaying 1501-1510 of 1611142 results.
ID:
1501
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1502
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1503
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
1504
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1505
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1506
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
1507
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
1508
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
1509
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1510
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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