Displaying 25231-25240 of 1611142 results.
ID:
25231
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25232
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25233
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25234
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25235
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25236
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25237
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25238
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25239
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25240
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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