Displaying 201821-201830 of 1611142 results.
ID:
201821
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201822
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201823
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201824
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201825
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201826
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201827
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1251501
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201828
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201829
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201830
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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