Displaying 10021-10030 of 1611142 results.
ID:
10021
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10022
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10023
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
10024
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
10025
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10026
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10027
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10028
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10029
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
10030
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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