Displaying 15711-15720 of 1611142 results.
ID:
15711
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15712
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15713
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15714
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15715
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15716
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15717
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15718
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15719
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15720
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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