Displaying 25131-25140 of 1611142 results.
ID:
25131
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25132
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25133
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25134
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
25135
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25136
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25137
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25138
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25139
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25140
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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