Displaying 25341-25350 of 1611142 results.
ID:
25341
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25342
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25343
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25344
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25345
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25346
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25347
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25348
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
25349
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
25350
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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