Displaying 17371-17380 of 1611142 results.
ID:
17371
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17372
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17373
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17374
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17375
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17376
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17377
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17378
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
17379
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17380
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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