Displaying 19761-19770 of 1611142 results.
ID:
19761
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19762
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19763
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19764
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19765
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
19766
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
19767
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
19768
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
19769
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
19770
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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