Displaying 24751-24760 of 1611142 results.
ID:
24751
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24752
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24753
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24754
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
24755
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24756
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24757
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24758
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24759
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
24760
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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