Displaying 25831-25840 of 1611142 results.
ID:
25831
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25832
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25833
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
25834
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25835
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25836
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25837
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25838
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25839
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25840
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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