Displaying 21811-21820 of 1611142 results.
ID:
21811
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21812
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21813
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21814
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21815
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21816
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21817
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21818
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21819
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21820
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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