Displaying 17261-17270 of 1611142 results.
ID:
17261
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17262
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17263
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17264
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
17265
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17266
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17267
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17268
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17269
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17270
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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