Displaying 25091-25100 of 1611142 results.
ID:
25091
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25092
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25093
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25094
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25095
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25096
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25097
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
25098
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25099
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25100
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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