Displaying 22141-22150 of 1611142 results.
ID:
22141
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22142
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22143
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
22144
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22145
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22146
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22147
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22148
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22149
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22150
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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