Displaying 17801-17810 of 1611142 results.
ID:
17801
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17802
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17803
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17804
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17805
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17806
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17807
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17808
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
17809
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17810
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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