Displaying 17931-17940 of 1611142 results.
ID:
17931
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17932
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17933
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17934
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17935
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17936
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17937
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17938
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17939
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17940
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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