Displaying 24561-24570 of 1611142 results.
ID:
24561
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
24562
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24563
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24564
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24565
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24566
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24567
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24568
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
24569
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
24570
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
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