Displaying 25201-25210 of 1611142 results.
ID:
25201
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25202
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25203
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25204
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25205
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25206
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25207
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25208
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25209
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25210
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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