Displaying 16841-16850 of 1611142 results.
ID:
16841
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16842
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16843
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16844
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16845
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16846
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16847
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16848
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16849
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16850
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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