Displaying 19241-19250 of 1611142 results.
ID:
19241
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19242
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19243
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19244
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19245
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19246
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
19247
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19248
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19249
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19250
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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