Displaying 21911-21920 of 1611142 results.
ID:
21911
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21912
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21913
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21914
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21915
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21916
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21917
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21918
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21919
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21920
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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