Displaying 25981-25990 of 1611142 results.
ID:
25981
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25982
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
25983
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25984
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
25985
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
25986
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25987
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
25988
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
25989
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
168
ID:
25990
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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