Displaying 20401-20410 of 1611142 results.
ID:
20401
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20402
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20403
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
20404
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20405
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20406
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20407
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20408
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20409
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20410
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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