Displaying 17401-17410 of 1611142 results.
ID:
17401
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17402
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17403
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17404
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17405
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17406
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17407
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17408
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17409
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17410
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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