Displaying 24941-24950 of 1611142 results.
ID:
24941
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24942
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24943
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24944
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24945
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
24946
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
24947
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24948
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24949
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24950
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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