Displaying 22681-22690 of 1611142 results.
ID:
22681
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22682
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22683
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
22684
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
22685
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22686
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
22687
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22688
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22689
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22690
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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