Displaying 22411-22420 of 1611142 results.
ID:
22411
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22412
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22413
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22414
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22415
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
22416
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22417
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22418
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22419
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22420
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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