Displaying 25361-25370 of 1611142 results.
ID:
25361
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25362
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25363
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25364
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25365
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25366
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25367
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25368
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25369
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25370
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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