Displaying 19821-19830 of 1611142 results.
ID:
19821
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
19822
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
19823
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19824
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
19825
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
19826
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
19827
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
19828
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19829
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19830
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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