Displaying 17541-17550 of 1611142 results.
ID:
17541
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17542
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17543
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17544
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17545
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17546
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17547
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17548
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17549
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17550
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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