Displaying 15501-15510 of 1611142 results.
ID:
15501
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15502
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15503
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15504
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15505
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15506
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15507
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15508
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15509
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15510
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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