Displaying 25191-25200 of 1611142 results.
ID:
25191
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25192
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25193
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25194
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25195
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25196
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25197
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25198
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25199
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25200
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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