Displaying 25801-25810 of 1611142 results.
ID:
25801
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25802
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25803
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25804
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25805
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25806
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
25807
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25808
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25809
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25810
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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