Displaying 17561-17570 of 1611142 results.
ID:
17561
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17562
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17563
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17564
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17565
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17566
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17567
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17568
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17569
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17570
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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