Displaying 15321-15330 of 1611142 results.
ID:
15321
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15322
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15323
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15324
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
15325
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15326
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15327
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15328
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15329
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
15330
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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