Displaying 19561-19570 of 1611142 results.
ID:
19561
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19562
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19563
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19564
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19565
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19566
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19567
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19568
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19569
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19570
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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