Displaying 17121-17130 of 1611142 results.
ID:
17121
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17122
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17123
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17124
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17125
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17126
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17127
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17128
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17129
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17130
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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