Displaying 25281-25290 of 1611142 results.
ID:
25281
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25282
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25283
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25284
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25285
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25286
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25287
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25288
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
25289
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25290
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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