Displaying 23531-23540 of 1611142 results.
ID:
23531
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23532
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23533
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23534
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23535
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23536
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23537
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23538
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
23539
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23540
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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