Displaying 24251-24260 of 1611142 results.
ID:
24251
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24252
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24253
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24254
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24255
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24256
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24257
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24258
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24259
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24260
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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