Displaying 25251-25260 of 1611142 results.
ID:
25251
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25252
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25253
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25254
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25255
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
25256
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25257
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25258
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25259
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25260
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
25251252522525325254252552525625257252582525925260