Displaying 16771-16780 of 1611142 results.
ID:
16771
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16772
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16773
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16774
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16775
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16776
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16777
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
16778
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16779
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16780
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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