Displaying 21521-21530 of 1611142 results.
ID:
21521
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21522
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21523
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21524
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
21525
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
21526
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
21527
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21528
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21529
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21530
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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