Displaying 23391-23400 of 1611142 results.
ID:
23391
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23392
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23393
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23394
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23395
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23396
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23397
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23398
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23399
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23400
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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