Displaying 17161-17170 of 1611142 results.
ID:
17161
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17162
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17163
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17164
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17165
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
17166
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17167
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17168
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17169
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17170
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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