Displaying 25531-25540 of 1611142 results.
ID:
25531
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25532
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25533
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
25534
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25535
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25536
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25537
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25538
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25539
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25540
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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