Displaying 22321-22330 of 1611142 results.
ID:
22321
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22322
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22323
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22324
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22325
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22326
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22327
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
22328
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22329
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22330
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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