Displaying 22561-22570 of 1611142 results.
ID:
22561
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22562
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22563
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22564
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22565
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22566
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22567
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22568
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22569
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
22570
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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