Displaying 18151-18160 of 1611142 results.
ID:
18151
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
18152
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18153
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18154
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18155
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18156
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18157
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18158
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18159
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
18160
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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