Displaying 24391-24400 of 1611142 results.
ID:
24391
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24392
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24393
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24394
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24395
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24396
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24397
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24398
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24399
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24400
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
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