Displaying 16491-16500 of 1611142 results.
ID:
16491
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16492
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16493
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16494
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16495
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16496
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
16497
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
16498
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
16499
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16500
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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