Displaying 17141-17150 of 1611142 results.
ID:
17141
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17142
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17143
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17144
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17145
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17146
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17147
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17148
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17149
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17150
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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