Displaying 18501-18510 of 1611142 results.
ID:
18501
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18502
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18503
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18504
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18505
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18506
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18507
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
18508
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
18509
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18510
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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