Displaying 23361-23370 of 1611142 results.
ID:
23361
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23362
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
23363
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
23364
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
23365
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
23366
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
23367
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
23368
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23369
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23370
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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