Displaying 17771-17780 of 1611142 results.
ID:
17771
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17772
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17773
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17774
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17775
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17776
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17777
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
17778
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17779
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17780
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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