Displaying 25941-25950 of 1611142 results.
ID:
25941
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25942
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25943
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25944
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25945
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25946
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25947
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25948
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25949
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25950
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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