Displaying 25861-25870 of 1611142 results.
ID:
25861
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25862
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25863
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25864
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25865
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25866
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25867
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25868
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25869
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25870
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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