Displaying 15161-15170 of 1611142 results.
ID:
15161
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15162
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15163
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15164
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15165
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15166
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15167
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15168
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15169
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15170
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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