Displaying 22701-22710 of 1611142 results.
ID:
22701
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22702
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22703
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
22704
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
22705
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
22706
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
22707
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
22708
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
22709
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
22710
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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