Displaying 17411-17420 of 1611142 results.
ID:
17411
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17412
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17413
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17414
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17415
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
17416
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17417
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17418
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17419
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17420
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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