Displaying 23921-23930 of 1611142 results.
ID:
23921
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23922
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
23923
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23924
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
23925
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
23926
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23927
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23928
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23929
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23930
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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