Displaying 23231-23240 of 1611142 results.
ID:
23231
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23232
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23233
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23234
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23235
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23236
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23237
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23238
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23239
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
23240
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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