Displaying 24581-24590 of 1611142 results.
ID:
24581
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24582
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
24583
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24584
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24585
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24586
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24587
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24588
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24589
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24590
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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