Displaying 22711-22720 of 1611142 results.
ID:
22711
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22712
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22713
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22714
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22715
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22716
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
22717
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
22718
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
22719
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
22720
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
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