Displaying 20121-20130 of 1611142 results.
ID:
20121
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20122
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20123
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20124
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20125
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
20126
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
20127
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20128
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20129
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20130
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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