Displaying 19531-19540 of 1611142 results.
ID:
19531
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19532
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
19533
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19534
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19535
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19536
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19537
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
19538
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
19539
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
19540
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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