Displaying 23881-23890 of 1611142 results.
ID:
23881
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23882
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
23883
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23884
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
23885
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
23886
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23887
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23888
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23889
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23890
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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