Displaying 24511-24520 of 1611142 results.
ID:
24511
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24512
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24513
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24514
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24515
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24516
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24517
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24518
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24519
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24520
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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