Displaying 18871-18880 of 1611142 results.
ID:
18871
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18872
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
18873
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18874
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
18875
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18876
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18877
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18878
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
18879
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
18880
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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