Displaying 24271-24280 of 1611142 results.
ID:
24271
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
24272
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
24273
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24274
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24275
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24276
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24277
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24278
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24279
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24280
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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