Displaying 23801-23810 of 1611142 results.
ID:
23801
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
23802
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23803
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23804
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23805
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23806
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23807
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23808
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23809
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23810
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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