Displaying 18231-18240 of 1611142 results.
ID:
18231
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18232
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18233
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18234
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18235
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18236
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18237
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18238
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18239
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18240
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
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