Displaying 25711-25720 of 1611142 results.
ID:
25711
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25712
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25713
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25714
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25715
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25716
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25717
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25718
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
25719
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25720
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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