Displaying 17781-17790 of 1611142 results.
ID:
17781
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17782
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17783
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17784
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17785
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17786
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17787
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17788
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17789
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
17790
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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