Displaying 15771-15780 of 1611142 results.
ID:
15771
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15772
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15773
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15774
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15775
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15776
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15777
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
15778
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15779
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15780
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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