Displaying 15631-15640 of 1611142 results.
ID:
15631
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15632
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
15633
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15634
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15635
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15636
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15637
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15638
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15639
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
15640
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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