Displaying 25011-25020 of 1611142 results.
ID:
25011
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25012
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25013
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25014
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25015
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25016
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25017
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25018
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25019
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25020
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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