Displaying 20581-20590 of 1611142 results.
ID:
20581
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
20582
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20583
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20584
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20585
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
20586
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20587
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20588
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20589
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20590
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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