Displaying 17601-17610 of 1611142 results.
ID:
17601
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17602
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17603
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17604
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17605
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17606
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17607
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17608
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17609
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17610
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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