Displaying 21221-21230 of 1611142 results.
ID:
21221
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
21222
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
21223
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21224
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21225
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21226
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21227
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21228
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21229
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21230
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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