Displaying 15561-15570 of 1611142 results.
ID:
15561
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15562
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15563
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15564
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15565
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15566
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15567
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15568
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15569
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15570
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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