Displaying 16381-16390 of 1611142 results.
ID:
16381
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16382
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16383
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16384
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16385
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16386
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
16387
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
16388
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16389
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16390
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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