Displaying 17741-17750 of 1611142 results.
ID:
17741
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17742
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17743
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17744
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17745
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17746
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17747
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17748
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17749
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17750
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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