Displaying 25491-25500 of 1611142 results.
ID:
25491
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25492
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25493
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25494
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25495
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25496
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25497
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25498
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25499
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25500
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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