Displaying 25411-25420 of 1611142 results.
ID:
25411
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25412
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25413
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
25414
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
25415
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
25416
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
25417
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25418
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25419
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25420
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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