Displaying 23331-23340 of 1611142 results.
ID:
23331
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23332
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23333
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23334
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23335
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23336
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23337
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
23338
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
23339
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23340
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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