Displaying 18811-18820 of 1611142 results.
ID:
18811
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18812
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18813
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18814
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18815
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18816
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18817
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18818
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18819
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18820
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
18811188121881318814188151881618817188181881918820