Displaying 24371-24380 of 1611142 results.
ID:
24371
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24372
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24373
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24374
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24375
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24376
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24377
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24378
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24379
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24380
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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