Displaying 20111-20120 of 1611142 results.
ID:
20111
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
20112
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
20113
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
20114
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
20115
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
20116
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20117
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20118
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20119
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20120
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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