Displaying 15241-15250 of 1611142 results.
ID:
15241
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15242
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15243
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15244
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15245
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15246
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15247
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15248
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15249
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15250
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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