Displaying 21701-21710 of 1611142 results.
ID:
21701
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
21702
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
21703
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21704
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21705
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21706
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21707
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21708
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21709
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21710
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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