Displaying 18241-18250 of 1611142 results.
ID:
18241
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
18242
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18243
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18244
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18245
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18246
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18247
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18248
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18249
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18250
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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