Displaying 23771-23780 of 1611142 results.
ID:
23771
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23772
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23773
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23774
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23775
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23776
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23777
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23778
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23779
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23780
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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