Displaying 23811-23820 of 1611142 results.
ID:
23811
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23812
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23813
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23814
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23815
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
23816
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23817
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
23818
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
23819
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23820
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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