Displaying 17321-17330 of 1611142 results.
ID:
17321
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17322
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17323
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17324
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17325
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17326
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17327
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17328
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17329
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
17330
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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