Displaying 15751-15760 of 1611142 results.
ID:
15751
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15752
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15753
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15754
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15755
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15756
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15757
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15758
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
15759
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15760
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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