Displaying 21301-21310 of 1611142 results.
ID:
21301
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21302
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
21303
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21304
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21305
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21306
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
21307
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
21308
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21309
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
21310
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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