Displaying 20071-20080 of 1611142 results.
ID:
20071
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
20072
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
20073
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
20074
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
20075
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
20076
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
20077
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
20078
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
20079
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
20080
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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