Displaying 21091-21100 of 1611142 results.
ID:
21091
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21092
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21093
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21094
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21095
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21096
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21097
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21098
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21099
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21100
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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