Displaying 20961-20970 of 1611142 results.
ID:
20961
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20962
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20963
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20964
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20965
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20966
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20967
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20968
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20969
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
20970
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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