Displaying 17421-17430 of 1611142 results.
ID:
17421
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
17422
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17423
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17424
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17425
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17426
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17427
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17428
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17429
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17430
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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