Displaying 17701-17710 of 1611142 results.
ID:
17701
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17702
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17703
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17704
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17705
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17706
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17707
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17708
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17709
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17710
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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