Displaying 15521-15530 of 1611142 results.
ID:
15521
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
15522
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
15523
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15524
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15525
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15526
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15527
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15528
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15529
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15530
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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