Displaying 18081-18090 of 1611142 results.
ID:
18081
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18082
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18083
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18084
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
18085
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18086
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
18087
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
18088
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
18089
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
18090
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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