Displaying 24221-24230 of 1611142 results.
ID:
24221
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
24222
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24223
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24224
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24225
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24226
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
24227
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24228
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24229
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24230
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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