Displaying 25301-25310 of 1611142 results.
ID:
25301
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25302
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25303
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25304
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25305
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25306
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25307
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25308
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25309
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25310
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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