Displaying 16941-16950 of 1611142 results.
ID:
16941
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16942
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16943
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16944
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
16945
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16946
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16947
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16948
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16949
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
16950
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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