Displaying 1611-1620 of 1611142 results.
ID:
1611
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1612
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1613
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1614
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1615
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1616
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1617
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1618
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1619
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1620
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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