Displaying 23621-23630 of 1611142 results.
ID:
23621
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23622
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23623
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23624
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23625
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23626
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23627
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23628
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23629
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23630
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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