Displaying 23101-23110 of 1611142 results.
ID:
23101
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
23102
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
23103
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
23104
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23105
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
23106
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23107
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23108
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23109
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
23110
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
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