Displaying 2501-2510 of 1611142 results.
ID:
2501
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2502
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2503
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2504
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2505
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2506
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2507
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2508
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
2509
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
2510
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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