Displaying 24261-24270 of 1611142 results.
ID:
24261
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24262
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24263
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24264
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24265
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24266
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24267
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
24268
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24269
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24270
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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