Displaying 25431-25440 of 1611142 results.
ID:
25431
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25432
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25433
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25434
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25435
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25436
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
25437
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
25438
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
25439
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25440
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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