Displaying 23251-23260 of 1611142 results.
ID:
23251
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23252
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23253
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23254
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23255
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23256
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23257
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23258
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23259
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23260
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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