Displaying 17051-17060 of 1611142 results.
ID:
17051
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17052
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17053
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17054
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17055
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17056
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
17057
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17058
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17059
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
17060
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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