Displaying 17531-17540 of 1611142 results.
ID:
17531
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17532
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17533
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17534
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17535
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17536
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
17537
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17538
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17539
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17540
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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