Displaying 16201-16210 of 1611142 results.
ID:
16201
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
16202
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
16203
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
16204
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
16205
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
16206
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16207
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16208
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16209
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16210
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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