Displaying 25701-25710 of 1611142 results.
ID:
25701
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25702
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25703
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25704
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
25705
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25706
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25707
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25708
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25709
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25710
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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