Displaying 17481-17490 of 1611142 results.
ID:
17481
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17482
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17483
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17484
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17485
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17486
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
17487
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17488
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17489
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
17490
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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