Displaying 17101-17110 of 1611142 results.
ID:
17101
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
17102
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
17103
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17104
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17105
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17106
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17107
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17108
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17109
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17110
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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