Displaying 16621-16630 of 1611142 results.
ID:
16621
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16622
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16623
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16624
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16625
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16626
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
16627
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
16628
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16629
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16630
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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