Displaying 16251-16260 of 1611142 results.
ID:
16251
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16252
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16253
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
16254
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
16255
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
16256
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16257
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16258
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16259
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16260
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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