Displaying 19841-19850 of 1611142 results.
ID:
19841
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19842
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
19843
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
19844
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19845
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
19846
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
19847
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19848
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
19849
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
19850
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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