Displaying 21391-21400 of 1611142 results.
ID:
21391
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
21392
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21393
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21394
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21395
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21396
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
21397
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21398
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21399
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21400
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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