Displaying 15301-15310 of 1611142 results.
ID:
15301
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15302
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15303
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15304
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15305
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15306
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15307
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15308
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15309
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15310
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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