Displaying 21951-21960 of 1611142 results.
ID:
21951
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21952
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21953
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21954
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21955
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21956
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21957
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21958
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21959
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21960
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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