Displaying 25031-25040 of 1611142 results.
ID:
25031
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25032
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25033
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25034
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25035
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25036
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25037
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25038
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25039
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25040
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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