Displaying 15831-15840 of 1611142 results.
ID:
15831
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15832
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15833
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15834
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15835
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15836
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15837
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15838
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15839
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15840
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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