Displaying 16861-16870 of 1611142 results.
ID:
16861
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
16862
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
16863
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
16864
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16865
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16866
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16867
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16868
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
16869
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16870
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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