Displaying 15641-15650 of 1611142 results.
ID:
15641
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
15642
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
15643
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
15644
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
15645
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
15646
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15647
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15648
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15649
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
15650
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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