Displaying 16581-16590 of 1611142 results.
ID:
16581
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16582
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16583
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16584
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16585
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16586
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16587
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16588
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16589
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16590
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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