Displaying 25951-25960 of 1611142 results.
ID:
25951
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25952
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25953
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25954
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25955
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
25956
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
25957
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
25958
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
25959
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
25960
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
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