Displaying 21121-21130 of 1611142 results.
ID:
21121
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21122
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21123
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21124
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21125
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21126
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21127
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21128
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21129
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21130
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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