Displaying 19541-19550 of 1611142 results.
ID:
19541
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19542
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19543
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19544
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19545
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19546
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19547
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19548
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19549
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19550
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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