Displaying 25681-25690 of 1611142 results.
ID:
25681
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25682
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25683
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25684
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25685
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25686
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25687
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25688
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25689
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25690
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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