Displaying 25071-25080 of 1611142 results.
ID:
25071
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25072
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25073
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25074
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25075
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25076
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25077
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25078
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25079
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25080
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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