Displaying 21801-21810 of 1611142 results.
ID:
21801
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21802
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
21803
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21804
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21805
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21806
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21807
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21808
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21809
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21810
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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