Displaying 23451-23460 of 1611142 results.
ID:
23451
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23452
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23453
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23454
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23455
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23456
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
23457
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
23458
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
23459
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23460
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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