Displaying 25971-25980 of 1611142 results.
ID:
25971
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
25972
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
25973
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25974
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25975
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
25976
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
25977
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25978
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25979
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
25980
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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