Displaying 1531-1540 of 1611142 results.
ID:
1531
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1532
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1533
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1534
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
1535
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
1536
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1537
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1538
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1539
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1540
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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