Displaying 21491-21500 of 1611142 results.
ID:
21491
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21492
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
21493
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
21494
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21495
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21496
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21497
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21498
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21499
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21500
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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