Displaying 19811-19820 of 1611142 results.
ID:
19811
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19812
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19813
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19814
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19815
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19816
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
19817
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
19818
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19819
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19820
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
19811198121981319814198151981619817198181981919820