Displaying 17511-17520 of 1611142 results.
ID:
17511
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17512
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17513
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17514
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17515
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17516
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17517
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17518
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17519
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17520
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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