Displaying 25581-25590 of 1611142 results.
ID:
25581
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25582
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25583
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25584
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25585
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25586
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25587
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25588
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25589
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25590
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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