Displaying 25541-25550 of 1611142 results.
ID:
25541
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25542
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25543
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25544
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25545
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25546
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25547
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25548
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25549
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25550
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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