Displaying 22391-22400 of 1611142 results.
ID:
22391
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22392
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22393
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22394
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
22395
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
22396
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22397
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22398
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22399
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22400
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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