Displaying 20391-20400 of 1611142 results.
ID:
20391
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20392
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20393
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20394
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20395
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20396
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20397
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20398
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20399
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20400
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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