Displaying 24011-24020 of 1611142 results.
ID:
24011
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24012
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24013
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24014
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24015
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24016
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24017
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24018
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24019
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24020
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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