Displaying 21981-21990 of 1611142 results.
ID:
21981
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21982
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21983
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21984
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21985
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21986
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21987
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21988
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21989
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21990
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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