Displaying 15721-15730 of 1611142 results.
ID:
15721
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15722
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15723
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15724
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15725
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15726
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15727
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15728
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15729
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15730
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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