Displaying 17901-17910 of 1611142 results.
ID:
17901
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
17902
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17903
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17904
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
17905
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17906
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17907
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17908
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17909
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17910
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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