Displaying 17521-17530 of 1611142 results.
ID:
17521
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17522
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17523
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17524
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17525
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17526
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17527
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17528
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17529
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17530
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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