Displaying 22601-22610 of 1611142 results.
ID:
22601
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22602
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22603
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22604
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22605
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22606
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
22607
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22608
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22609
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22610
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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