Displaying 25921-25930 of 1611142 results.
ID:
25921
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25922
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25923
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25924
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25925
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
25926
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
25927
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25928
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25929
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25930
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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