Displaying 22871-22880 of 1611142 results.
ID:
22871
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22872
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22873
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22874
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22875
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
22876
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22877
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22878
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22879
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22880
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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