Displaying 21851-21860 of 1611142 results.
ID:
21851
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21852
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21853
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21854
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21855
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21856
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21857
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21858
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21859
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21860
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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