Displaying 19021-19030 of 1611142 results.
ID:
19021
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
19022
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19023
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19024
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19025
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19026
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19027
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19028
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19029
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
19030
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
19021190221902319024190251902619027190281902919030