Displaying 25741-25750 of 1611142 results.
ID:
25741
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25742
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25743
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25744
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25745
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25746
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25747
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25748
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25749
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25750
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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