Displaying 24621-24630 of 1611142 results.
ID:
24621
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24622
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24623
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24624
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24625
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24626
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24627
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
24628
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24629
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24630
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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