Displaying 17941-17950 of 1611142 results.
ID:
17941
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17942
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17943
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17944
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
180
ID:
17945
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17946
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17947
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17948
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
17949
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17950
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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