Displaying 19001-19010 of 1611142 results.
ID:
19001
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19002
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19003
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19004
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19005
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19006
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19007
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19008
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19009
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19010
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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