Displaying 15201-15210 of 1611142 results.
ID:
15201
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15202
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15203
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15204
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15205
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15206
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
15207
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15208
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15209
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15210
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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