Displaying 25401-25410 of 1611142 results.
ID:
25401
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25402
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25403
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25404
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25405
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25406
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
25407
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25408
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
25409
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
25410
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
25401254022540325404254052540625407254082540925410