Displaying 24761-24770 of 1611142 results.
ID:
24761
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24762
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24763
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24764
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
24765
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24766
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
24767
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24768
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24769
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24770
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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