Displaying 22151-22160 of 1611142 results.
ID:
22151
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22152
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22153
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22154
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
22155
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22156
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
22157
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
22158
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
22159
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22160
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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