Displaying 23121-23130 of 1611142 results.
ID:
23121
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23122
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
23123
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23124
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23125
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23126
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23127
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23128
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23129
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23130
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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