Displaying 16711-16720 of 1611142 results.
ID:
16711
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16712
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16713
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16714
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16715
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16716
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16717
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16718
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16719
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16720
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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