Displaying 25881-25890 of 1611142 results.
ID:
25881
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25882
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25883
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
25884
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25885
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25886
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
25887
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25888
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25889
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25890
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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