Displaying 24321-24330 of 1611142 results.
ID:
24321
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24322
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24323
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24324
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24325
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24326
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24327
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24328
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24329
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24330
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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