Displaying 22891-22900 of 1611142 results.
ID:
22891
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
22892
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22893
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22894
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22895
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22896
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22897
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22898
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22899
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22900
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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