Displaying 15091-15100 of 1611142 results.
ID:
15091
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15092
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15093
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15094
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15095
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15096
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15097
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15098
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15099
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15100
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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