Displaying 17731-17740 of 1611142 results.
ID:
17731
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17732
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17733
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17734
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17735
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17736
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17737
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17738
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17739
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17740
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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