Displaying 16021-16030 of 1611142 results.
ID:
16021
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16022
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16023
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16024
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
16025
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16026
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
16027
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16028
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16029
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16030
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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