Displaying 23321-23330 of 1611142 results.
ID:
23321
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23322
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23323
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23324
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23325
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23326
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23327
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23328
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23329
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23330
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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