Displaying 22001-22010 of 1611142 results.
ID:
22001
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22002
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22003
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
22004
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22005
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22006
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22007
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22008
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22009
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22010
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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