Displaying 15371-15380 of 1611142 results.
ID:
15371
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15372
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15373
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15374
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15375
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15376
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15377
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15378
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
15379
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15380
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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