Displaying 17441-17450 of 1611142 results.
ID:
17441
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17442
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17443
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17444
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17445
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17446
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
17447
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
17448
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
17449
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
17450
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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