Displaying 17251-17260 of 1611142 results.
ID:
17251
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17252
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17253
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17254
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17255
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17256
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17257
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17258
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17259
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
17260
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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