Displaying 15931-15940 of 1611142 results.
ID:
15931
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15932
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15933
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15934
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15935
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15936
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15937
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15938
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15939
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15940
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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