Displaying 17151-17160 of 1611142 results.
ID:
17151
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17152
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17153
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17154
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17155
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17156
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17157
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17158
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17159
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17160
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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