Displaying 15221-15230 of 1611142 results.
ID:
15221
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
15222
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15223
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15224
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15225
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
15226
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
15227
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15228
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15229
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15230
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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