Displaying 19071-19080 of 1611142 results.
ID:
19071
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19072
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19073
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19074
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19075
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
19076
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19077
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19078
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19079
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19080
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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