Displaying 24601-24610 of 1611142 results.
ID:
24601
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
24602
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
24603
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
24604
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24605
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24606
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24607
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24608
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24609
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
24610
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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