Displaying 22811-22820 of 1611142 results.
ID:
22811
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22812
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22813
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22814
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22815
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22816
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22817
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22818
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22819
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22820
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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