Displaying 17021-17030 of 1611142 results.
ID:
17021
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17022
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17023
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17024
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17025
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17026
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17027
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17028
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17029
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17030
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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