Displaying 20311-20320 of 1611142 results.
ID:
20311
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
20312
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
20313
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
20314
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20315
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20316
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20317
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20318
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20319
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
20320
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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