Displaying 22911-22920 of 1611142 results.
ID:
22911
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22912
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22913
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22914
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22915
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22916
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22917
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22918
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22919
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
22920
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
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