Displaying 15121-15130 of 1611142 results.
ID:
15121
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15122
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15123
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15124
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15125
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15126
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15127
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15128
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15129
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15130
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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