Displaying 24471-24480 of 1611142 results.
ID:
24471
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24472
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
24473
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
24474
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
24475
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24476
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24477
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24478
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24479
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24480
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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