Displaying 16691-16700 of 1611142 results.
ID:
16691
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
16692
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16693
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16694
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16695
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16696
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16697
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16698
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16699
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16700
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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