Displaying 23481-23490 of 1611142 results.
ID:
23481
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23482
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23483
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23484
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23485
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23486
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23487
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23488
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23489
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23490
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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