Displaying 16001-16010 of 1611142 results.
ID:
16001
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16002
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16003
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16004
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16005
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16006
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16007
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
16008
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16009
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
16010
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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