Displaying 18301-18310 of 1611142 results.
ID:
18301
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18302
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18303
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
18304
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18305
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18306
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18307
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18308
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18309
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18310
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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