Displaying 24811-24820 of 1611142 results.
ID:
24811
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24812
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24813
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24814
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
24815
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24816
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24817
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24818
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24819
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24820
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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