Displaying 25811-25820 of 1611142 results.
ID:
25811
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
25812
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25813
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25814
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25815
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25816
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25817
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25818
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25819
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25820
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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