Displaying 25321-25330 of 1611142 results.
ID:
25321
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25322
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25323
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25324
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25325
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25326
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25327
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25328
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25329
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25330
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
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