Displaying 23111-23120 of 1611142 results.
ID:
23111
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
23112
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23113
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
23114
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23115
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
23116
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
23117
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23118
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23119
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23120
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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