Displaying 25121-25130 of 1611142 results.
ID:
25121
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
25122
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25123
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25124
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25125
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25126
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25127
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25128
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25129
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25130
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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