Displaying 20931-20940 of 1611142 results.
ID:
20931
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20932
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20933
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
20934
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20935
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20936
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20937
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20938
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
20939
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20940
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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