Displaying 21901-21910 of 1611142 results.
ID:
21901
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21902
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21903
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21904
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21905
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21906
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21907
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21908
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21909
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21910
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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