Displaying 22761-22770 of 1611142 results.
ID:
22761
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22762
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22763
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22764
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22765
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22766
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22767
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
22768
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22769
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22770
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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