Displaying 21721-21730 of 1611142 results.
ID:
21721
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21722
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
21723
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
21724
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
21725
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
21726
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21727
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21728
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21729
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
21730
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
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