Displaying 17921-17930 of 1611142 results.
ID:
17921
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17922
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17923
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17924
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17925
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17926
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17927
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
17928
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
17929
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17930
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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