Displaying 24791-24800 of 1611142 results.
ID:
24791
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24792
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24793
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24794
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24795
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24796
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24797
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24798
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24799
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24800
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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