Displaying 21371-21380 of 1611142 results.
ID:
21371
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21372
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21373
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21374
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21375
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
21376
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21377
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21378
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21379
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21380
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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