Displaying 18101-18110 of 1611142 results.
ID:
18101
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18102
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18103
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18104
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18105
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
18106
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
18107
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
18108
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
ID:
18109
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18110
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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