Displaying 20561-20570 of 1611142 results.
ID:
20561
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20562
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20563
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
20564
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20565
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
20566
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
20567
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20568
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20569
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20570
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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