Displaying 24591-24600 of 1611142 results.
ID:
24591
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24592
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24593
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
24594
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24595
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24596
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24597
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24598
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24599
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
24600
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
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