Displaying 15231-15240 of 1611142 results.
ID:
15231
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15232
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
ID:
15233
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
15234
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15235
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15236
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15237
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15238
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15239
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15240
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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