Displaying 22131-22140 of 1611142 results.
ID:
22131
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22132
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
22133
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22134
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
22135
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22136
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
22137
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22138
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22139
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22140
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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