Displaying 20511-20520 of 1611142 results.
ID:
20511
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
20512
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20513
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20514
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20515
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
20516
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
20517
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20518
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20519
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20520
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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