Displaying 22541-22550 of 1611142 results.
ID:
22541
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2393794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
22542
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121764
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22543
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173841
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22544
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22545
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22546
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22547
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22548
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22549
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22550
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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