Displaying 23541-23550 of 1611142 results.
ID:
23541
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23542
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23543
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23544
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23545
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23546
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23547
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23548
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
23549
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
23550
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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