Displaying 25101-25110 of 1611142 results.
ID:
25101
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25102
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25103
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25104
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25105
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25106
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25107
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25108
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25109
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25110
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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