Displaying 15941-15950 of 1611142 results.
ID:
15941
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15942
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15943
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15944
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15945
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15946
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15947
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15948
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
15949
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15950
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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