Displaying 23311-23320 of 1611142 results.
ID:
23311
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23312
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23313
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23314
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23315
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23316
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23317
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23318
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23319
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23320
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
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