Displaying 20301-20310 of 1611142 results.
ID:
20301
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20302
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20303
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20304
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20305
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20306
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20307
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20308
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
20309
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20310
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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