Displaying 24201-24210 of 1611142 results.
ID:
24201
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24202
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24203
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24204
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24205
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24206
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24207
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24208
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24209
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24210
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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