Displaying 17061-17070 of 1611142 results.
ID:
17061
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
17062
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17063
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17064
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17065
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17066
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17067
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
17068
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
17069
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
17070
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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