Displaying 16091-16100 of 1611142 results.
ID:
16091
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16092
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16093
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16094
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16095
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16096
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16097
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16098
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16099
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16100
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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