Displaying 15431-15440 of 1611142 results.
ID:
15431
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15432
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15433
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15434
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15435
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15436
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15437
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15438
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15439
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15440
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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