Displaying 19011-19020 of 1611142 results.
ID:
19011
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19012
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
19013
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19014
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19015
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19016
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19017
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19018
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19019
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19020
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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