Displaying 18091-18100 of 1611142 results.
ID:
18091
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
18092
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
18093
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
18094
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
18095
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
18096
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
18097
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
18098
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
18099
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
18100
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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