Displaying 17291-17300 of 1611142 results.
ID:
17291
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17292
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17293
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17294
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17295
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17296
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17297
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
17298
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17299
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17300
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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