Displaying 22631-22640 of 1611142 results.
ID:
22631
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22632
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22633
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22634
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
22635
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22636
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22637
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22638
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22639
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
22640
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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