Displaying 18901-18910 of 1611142 results.
ID:
18901
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18902
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
18903
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18904
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
18905
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
18906
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
18907
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18908
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
18909
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
18910
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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