Displaying 24031-24040 of 1611142 results.
ID:
24031
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24032
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24033
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24034
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24035
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24036
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24037
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24038
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24039
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24040
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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