Displaying 1711-1720 of 1611142 results.
ID:
1711
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1712
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1713
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1714
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1715
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1716
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1717
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1718
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1719
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1720
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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