Displaying 18121-18130 of 1611142 results.
ID:
18121
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18122
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18123
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
18124
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
18125
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18126
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18127
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18128
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18129
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18130
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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