Displaying 16611-16620 of 1611142 results.
ID:
16611
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
16612
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
16613
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16614
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16615
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16616
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
16617
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16618
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
16619
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16620
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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