Displaying 19511-19520 of 1611142 results.
ID:
19511
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19512
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19513
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
19514
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
19515
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
19516
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19517
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
19518
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
19519
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19520
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
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