Displaying 17331-17340 of 1611142 results.
ID:
17331
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17332
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17333
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17334
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17335
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17336
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17337
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17338
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17339
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17340
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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