Displaying 22721-22730 of 1611142 results.
ID:
22721
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22722
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22723
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
22724
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
22725
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
22726
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
22727
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22728
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22729
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22730
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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