Displaying 25961-25970 of 1611142 results.
ID:
25961
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
25962
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25963
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25964
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25965
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25966
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25967
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25968
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
25969
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
25970
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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