Displaying 18761-18770 of 1611142 results.
ID:
18761
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18762
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18763
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18764
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18765
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18766
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18767
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18768
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18769
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
18770
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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