Displaying 19501-19510 of 1611142 results.
ID:
19501
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
19502
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19503
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19504
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19505
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
19506
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
19507
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
19508
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19509
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19510
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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