Displaying 24801-24810 of 1611142 results.
ID:
24801
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24802
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24803
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24804
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24805
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24806
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24807
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
24808
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24809
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24810
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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