Displaying 25151-25160 of 1611142 results.
ID:
25151
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25152
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25153
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25154
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25155
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25156
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25157
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25158
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25159
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25160
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
25151251522515325154251552515625157251582515925160