Displaying 22691-22700 of 1611142 results.
ID:
22691
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22692
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22693
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22694
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22695
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22696
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22697
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22698
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22699
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22700
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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