Displaying 17311-17320 of 1611142 results.
ID:
17311
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
17312
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17313
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
17314
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
17315
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17316
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17317
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17318
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17319
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17320
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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