Displaying 21101-21110 of 1611142 results.
ID:
21101
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21102
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
21103
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21104
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21105
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21106
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21107
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21108
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21109
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
21110
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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