Displaying 21401-21410 of 1611142 results.
ID:
21401
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21402
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21403
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21404
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21405
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21406
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21407
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21408
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21409
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21410
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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