Displaying 23091-23100 of 1611142 results.
ID:
23091
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23092
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23093
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23094
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23095
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23096
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23097
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23098
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
23099
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23100
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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