Displaying 18821-18830 of 1611142 results.
ID:
18821
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18822
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18823
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18824
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18825
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
18826
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
18827
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18828
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18829
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18830
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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