Displaying 16731-16740 of 1611142 results.
ID:
16731
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16732
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16733
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16734
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16735
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
16736
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16737
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16738
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16739
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16740
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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