Displaying 22491-22500 of 1611142 results.
ID:
22491
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22492
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22493
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22494
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22495
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22496
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22497
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22498
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
22499
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22500
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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