Displaying 15961-15970 of 1611142 results.
ID:
15961
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15962
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
15963
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15964
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
15965
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15966
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15967
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15968
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
15969
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15970
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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