Displaying 25021-25030 of 1611142 results.
ID:
25021
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25022
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25023
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25024
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25025
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25026
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25027
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25028
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25029
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25030
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
25021250222502325024250252502625027250282502925030