Displaying 17351-17360 of 1611142 results.
ID:
17351
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17352
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17353
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17354
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17355
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17356
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17357
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17358
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17359
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17360
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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