Displaying 25311-25320 of 1611142 results.
ID:
25311
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
25312
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
25313
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
25314
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
25315
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25316
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25317
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25318
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25319
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25320
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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