Displaying 15401-15410 of 1611142 results.
ID:
15401
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15402
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15403
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15404
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15405
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15406
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15407
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15408
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15409
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15410
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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