Displaying 22981-22990 of 1611142 results.
ID:
22981
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22982
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22983
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
22984
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
22985
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
22986
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22987
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22988
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22989
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22990
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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