Displaying 15471-15480 of 1611142 results.
ID:
15471
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15472
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15473
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15474
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15475
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15476
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15477
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15478
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15479
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15480
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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