Displaying 22881-22890 of 1611142 results.
ID:
22881
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22882
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
22883
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
22884
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22885
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22886
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22887
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22888
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22889
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22890
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
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