Displaying 25051-25060 of 1611142 results.
ID:
25051
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25052
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25053
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25054
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
25055
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25056
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25057
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25058
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25059
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25060
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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