Displaying 22831-22840 of 1611142 results.
ID:
22831
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
22832
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22833
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22834
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
22835
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
22836
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22837
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22838
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22839
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22840
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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