Displaying 15531-15540 of 1611142 results.
ID:
15531
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15532
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
15533
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15534
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15535
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15536
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15537
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15538
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15539
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15540
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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