Displaying 19031-19040 of 1611142 results.
ID:
19031
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19032
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19033
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19034
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19035
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19036
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19037
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19038
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19039
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19040
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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