Displaying 21051-21060 of 1611142 results.
ID:
21051
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21052
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21053
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21054
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21055
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21056
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21057
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21058
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21059
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21060
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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