Displaying 23441-23450 of 1611142 results.
ID:
23441
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23442
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23443
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23444
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
23445
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23446
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23447
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23448
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
23449
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23450
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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