Displaying 21211-21220 of 1611142 results.
ID:
21211
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21212
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21213
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21214
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21215
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21216
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21217
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
21218
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
21219
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21220
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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