Displaying 23071-23080 of 1611142 results.
ID:
23071
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23072
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
23073
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
23074
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
23075
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23076
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
23077
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
23078
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
23079
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
23080
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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