Displaying 21141-21150 of 1611142 results.
ID:
21141
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21142
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21143
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21144
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21145
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21146
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21147
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21148
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
21149
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21150
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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