Displaying 20431-20440 of 1611142 results.
ID:
20431
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
20432
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
20433
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20434
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20435
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20436
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20437
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
20438
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20439
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20440
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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