Displaying 25471-25480 of 1611142 results.
ID:
25471
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25472
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25473
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25474
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25475
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25476
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25477
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25478
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25479
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25480
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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