Displaying 17571-17580 of 1611142 results.
ID:
17571
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17572
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17573
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17574
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17575
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17576
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17577
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17578
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
17579
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17580
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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