Displaying 15671-15680 of 1611142 results.
ID:
15671
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15672
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15673
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15674
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15675
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15676
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15677
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15678
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15679
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15680
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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