Displaying 18601-18610 of 1611142 results.
ID:
18601
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18602
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18603
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18604
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18605
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18606
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18607
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18608
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18609
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18610
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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