Displaying 25351-25360 of 1611142 results.
ID:
25351
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25352
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25353
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25354
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
25355
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
25356
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25357
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25358
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25359
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25360
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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