Displaying 15171-15180 of 1611142 results.
ID:
15171
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15172
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15173
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15174
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15175
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15176
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15177
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15178
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15179
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15180
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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