Displaying 23431-23440 of 1611142 results.
ID:
23431
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23432
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23433
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23434
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23435
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23436
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23437
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23438
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23439
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23440
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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