Displaying 29021-29030 of 1611142 results.
ID:
29021
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29022
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29023
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29024
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29025
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29026
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29027
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29028
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
29029
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29030
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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