Displaying 15461-15470 of 1611142 results.
ID:
15461
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15462
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15463
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15464
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15465
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15466
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15467
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15468
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15469
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15470
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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