Displaying 18421-18430 of 1611142 results.
ID:
18421
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18422
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18423
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18424
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18425
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18426
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18427
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18428
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18429
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18430
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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