Displaying 15781-15790 of 1611142 results.
ID:
15781
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15782
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15783
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15784
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15785
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15786
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15787
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15788
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15789
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15790
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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