Displaying 22481-22490 of 1611142 results.
ID:
22481
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22482
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22483
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22484
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22485
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22486
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22487
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22488
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22489
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22490
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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