Displaying 23601-23610 of 1611142 results.
ID:
23601
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23602
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23603
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
23604
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
23605
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
23606
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
23607
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23608
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23609
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23610
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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