Displaying 22051-22060 of 1611142 results.
ID:
22051
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22052
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22053
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22054
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22055
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22056
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22057
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22058
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
22059
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
22060
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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