Displaying 18521-18530 of 1611142 results.
ID:
18521
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18522
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18523
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18524
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18525
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18526
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
18527
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18528
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18529
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18530
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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