Displaying 19771-19780 of 1611142 results.
ID:
19771
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
19772
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19773
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19774
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19775
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19776
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19777
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19778
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19779
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
19780
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
19771197721977319774197751977619777197781977919780