Displaying 25661-25670 of 1611142 results.
ID:
25661
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25662
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25663
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25664
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25665
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25666
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25667
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
25668
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25669
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25670
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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