Displaying 21161-21170 of 1611142 results.
ID:
21161
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21162
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
21163
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21164
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21165
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21166
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21167
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21168
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21169
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21170
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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