Displaying 23211-23220 of 1611142 results.
ID:
23211
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23212
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23213
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23214
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23215
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23216
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23217
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23218
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23219
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23220
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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