Displaying 15141-15150 of 1611142 results.
ID:
15141
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15142
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15143
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15144
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15145
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15146
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15147
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15148
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15149
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15150
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
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