Displaying 17281-17290 of 1611142 results.
ID:
17281
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17282
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17283
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17284
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17285
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
17286
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
17287
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17288
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17289
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17290
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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