Displaying 17431-17440 of 1611142 results.
ID:
17431
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17432
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17433
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
17434
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17435
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17436
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17437
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17438
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17439
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17440
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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