Displaying 21781-21790 of 1611142 results.
ID:
21781
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21782
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21783
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21784
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21785
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21786
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21787
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21788
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21789
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21790
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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