Displaying 21621-21630 of 1611142 results.
ID:
21621
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21622
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21623
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21624
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21625
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21626
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21627
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21628
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21629
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21630
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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