Displaying 23651-23660 of 1611142 results.
ID:
23651
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23652
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23653
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23654
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23655
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23656
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23657
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23658
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
23659
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23660
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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