Displaying 15851-15860 of 1611142 results.
ID:
15851
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
15852
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
15853
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15854
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15855
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15856
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15857
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15858
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15859
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15860
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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