Displaying 15651-15660 of 1611142 results.
ID:
15651
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
15652
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
15653
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
15654
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
15655
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15656
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15657
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
15658
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
15659
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
15660
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
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