Displaying 19701-19710 of 1611142 results.
ID:
19701
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19702
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
19703
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
19704
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19705
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19706
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19707
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19708
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19709
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19710
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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