Displaying 1511-1520 of 1611142 results.
ID:
1511
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1512
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
1513
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1514
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1515
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1516
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1517
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
1518
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1519
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1520
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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