Displaying 23831-23840 of 1611142 results.
ID:
23831
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23832
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23833
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
23834
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23835
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23836
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23837
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23838
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23839
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23840
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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