Displaying 29001-29010 of 1611142 results.
ID:
29001
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29002
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
29003
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29004
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29005
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29006
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29007
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29008
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29009
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29010
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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