Displaying 29011-29020 of 1611142 results.
ID:
29011
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29012
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29013
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29014
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29015
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
29016
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29017
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
29018
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
29019
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29020
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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