Displaying 21321-21330 of 1611142 results.
ID:
21321
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
21322
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21323
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21324
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21325
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21326
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21327
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21328
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21329
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21330
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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