Displaying 29031-29040 of 1611142 results.
ID:
29031
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29032
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
29033
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29034
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
29035
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29036
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29037
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29038
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29039
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29040
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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