Displaying 22581-22590 of 1611142 results.
ID:
22581
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
22582
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22583
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22584
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22585
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22586
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22587
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22588
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22589
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22590
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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