Displaying 22751-22760 of 1611142 results.
ID:
22751
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22752
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22753
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
22754
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22755
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22756
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22757
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
22758
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
22759
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
22760
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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