Displaying 25331-25340 of 1611142 results.
ID:
25331
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25332
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25333
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25334
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25335
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25336
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25337
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25338
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25339
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25340
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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