Displaying 22021-22030 of 1611142 results.
ID:
22021
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22022
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22023
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22024
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
22025
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
22026
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
22027
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22028
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22029
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22030
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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