Displaying 25761-25770 of 1611142 results.
ID:
25761
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25762
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25763
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
25764
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25765
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25766
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
25767
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25768
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25769
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25770
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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