Displaying 22071-22080 of 1611142 results.
ID:
22071
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22072
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22073
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22074
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22075
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22076
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22077
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22078
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
22079
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22080
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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