Displaying 18741-18750 of 1611142 results.
ID:
18741
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18742
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18743
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18744
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18745
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18746
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18747
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18748
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18749
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18750
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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