Displaying 22241-22250 of 1611142 results.
ID:
22241
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22242
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22243
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22244
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22245
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22246
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22247
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22248
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22249
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22250
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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