Displaying 18771-18780 of 1611142 results.
ID:
18771
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18772
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
18773
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
18774
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
18775
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18776
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18777
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18778
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18779
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18780
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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