Displaying 15131-15140 of 1611142 results.
ID:
15131
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15132
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15133
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15134
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15135
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15136
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15137
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15138
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15139
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15140
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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