Displaying 22771-22780 of 1611142 results.
ID:
22771
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22772
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
22773
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
22774
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22775
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22776
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
22777
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
22778
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
22779
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22780
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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