Displaying 22651-22660 of 1611142 results.
ID:
22651
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
22652
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
22653
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22654
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
22655
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22656
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22657
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22658
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22659
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22660
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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