Displaying 22261-22270 of 1611142 results.
ID:
22261
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22262
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
22263
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22264
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
22265
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22266
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22267
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22268
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22269
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22270
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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