Displaying 20201-20210 of 1611142 results.
ID:
20201
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20202
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20203
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20204
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
20205
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
20206
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
20207
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20208
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20209
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20210
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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