Displaying 22971-22980 of 1611142 results.
ID:
22971
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22972
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22973
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22974
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22975
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22976
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22977
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22978
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22979
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22980
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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