Displaying 17881-17890 of 1611142 results.
ID:
17881
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17882
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17883
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17884
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17885
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17886
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17887
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17888
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17889
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17890
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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