Displaying 16171-16180 of 1611142 results.
ID:
16171
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16172
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16173
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16174
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16175
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16176
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16177
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16178
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16179
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
16180
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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