Displaying 22611-22620 of 1611142 results.
ID:
22611
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22612
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22613
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22614
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22615
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22616
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22617
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22618
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22619
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22620
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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