Displaying 19731-19740 of 1611142 results.
ID:
19731
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
19732
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
19733
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
19734
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19735
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19736
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19737
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19738
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19739
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19740
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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