Displaying 16701-16710 of 1611142 results.
ID:
16701
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
135
Qty Limit Days:
30
ID:
16702
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16703
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16704
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16705
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16706
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16707
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
16708
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16709
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16710
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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