Displaying 21131-21140 of 1611142 results.
ID:
21131
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21132
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21133
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21134
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21135
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21136
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21137
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21138
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21139
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21140
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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