Displaying 25241-25250 of 1611142 results.
ID:
25241
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25242
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25243
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25244
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25245
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25246
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25247
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25248
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25249
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25250
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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