Displaying 22301-22310 of 1611142 results.
ID:
22301
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22302
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22303
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22304
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22305
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22306
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22307
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22308
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22309
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22310
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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