Displaying 23201-23210 of 1611142 results.
ID:
23201
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23202
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23203
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23204
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23205
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
135
Qty Limit Days:
30
ID:
23206
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23207
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23208
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23209
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23210
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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