Displaying 16961-16970 of 1611142 results.
ID:
16961
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16962
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
16963
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
16964
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16965
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16966
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16967
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16968
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16969
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16970
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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