Displaying 23041-23050 of 1611142 results.
ID:
23041
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23042
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23043
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23044
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23045
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23046
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23047
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23048
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23049
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23050
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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