Displaying 19571-19580 of 1611142 results.
ID:
19571
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19572
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19573
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19574
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19575
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19576
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19577
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19578
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19579
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
19580
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
19571195721957319574195751957619577195781957919580