Displaying 22271-22280 of 1611142 results.
ID:
22271
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22272
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22273
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
22274
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22275
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22276
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22277
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22278
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22279
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22280
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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