Displaying 15391-15400 of 1611142 results.
ID:
15391
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15392
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15393
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15394
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15395
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15396
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15397
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15398
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15399
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15400
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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