Displaying 23511-23520 of 1611142 results.
ID:
23511
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23512
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23513
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23514
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23515
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23516
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
23517
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23518
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23519
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23520
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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