Displaying 21461-21470 of 1611142 results.
ID:
21461
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21462
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21463
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21464
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21465
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21466
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21467
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21468
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21469
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21470
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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