Displaying 22031-22040 of 1611142 results.
ID:
22031
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22032
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22033
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22034
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22035
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22036
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
22037
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22038
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22039
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22040
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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