Displaying 20911-20920 of 1611142 results.
ID:
20911
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20912
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20913
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20914
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20915
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20916
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20917
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
20918
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
20919
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20920
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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