Displaying 20501-20510 of 1611142 results.
ID:
20501
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20502
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20503
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20504
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20505
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20506
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20507
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20508
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20509
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20510
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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