Displaying 23371-23380 of 1611142 results.
ID:
23371
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23372
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23373
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23374
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23375
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23376
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23377
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23378
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23379
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23380
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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