Displaying 15581-15590 of 1611142 results.
ID:
15581
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15582
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15583
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15584
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15585
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15586
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15587
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15588
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15589
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15590
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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