Displaying 21261-21270 of 1611142 results.
ID:
21261
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21262
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21263
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21264
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21265
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21266
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21267
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21268
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21269
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21270
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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