Displaying 15191-15200 of 1611142 results.
ID:
15191
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15192
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15193
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15194
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15195
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15196
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15197
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15198
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15199
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15200
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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