Displaying 17171-17180 of 1611142 results.
ID:
17171
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17172
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17173
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17174
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17175
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17176
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17177
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17178
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17179
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17180
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
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