Displaying 17221-17230 of 1611142 results.
ID:
17221
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17222
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17223
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17224
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17225
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17226
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17227
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17228
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17229
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17230
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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