Displaying 23131-23140 of 1611142 results.
ID:
23131
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23132
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23133
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23134
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23135
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23136
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23137
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23138
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
23139
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23140
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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