Displaying 20381-20390 of 1611142 results.
ID:
20381
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20382
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20383
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20384
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20385
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20386
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20387
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20388
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20389
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20390
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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