Displaying 25211-25220 of 1611142 results.
ID:
25211
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25212
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25213
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25214
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25215
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25216
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25217
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25218
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25219
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25220
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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