Displaying 15211-15220 of 1611142 results.
ID:
15211
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15212
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15213
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15214
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15215
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15216
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15217
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15218
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
15219
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
15220
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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