Displaying 15691-15700 of 1611142 results.
ID:
15691
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15692
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15693
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15694
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15695
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15696
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15697
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15698
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
15699
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15700
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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