Displaying 19181-19190 of 1611142 results.
ID:
19181
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19182
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19183
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19184
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19185
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19186
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19187
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19188
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19189
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19190
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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