Displaying 23461-23470 of 1611142 results.
ID:
23461
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23462
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23463
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23464
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23465
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23466
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
23467
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
23468
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23469
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23470
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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