Displaying 18701-18710 of 1611142 results.
ID:
18701
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18702
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18703
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18704
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18705
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18706
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18707
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18708
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18709
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18710
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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