Displaying 25001-25010 of 1611142 results.
ID:
25001
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25002
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25003
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25004
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25005
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25006
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25007
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25008
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25009
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25010
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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