Displaying 19431-19440 of 1611142 results.
ID:
19431
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19432
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19433
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19434
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
19435
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19436
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19437
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19438
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19439
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19440
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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