Displaying 15571-15580 of 1611142 results.
ID:
15571
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15572
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15573
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15574
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
15575
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15576
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15577
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15578
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15579
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15580
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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