Displaying 19371-19380 of 1611142 results.
ID:
19371
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19372
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
19373
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
19374
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19375
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19376
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19377
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19378
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19379
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
19380
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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