Displaying 25271-25280 of 1611142 results.
ID:
25271
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25272
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25273
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25274
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25275
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25276
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
25277
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
25278
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
25279
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25280
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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