Displaying 15421-15430 of 1611142 results.
ID:
15421
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15422
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15423
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15424
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15425
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15426
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15427
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15428
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15429
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15430
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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