Displaying 19421-19430 of 1611142 results.
ID:
19421
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19422
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19423
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19424
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19425
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19426
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19427
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19428
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19429
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19430
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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