Displaying 15911-15920 of 1611142 results.
ID:
15911
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
15912
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15913
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15914
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15915
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15916
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
15917
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15918
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15919
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15920
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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