Displaying 29051-29060 of 1611142 results.
ID:
29051
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29052
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29053
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29054
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29055
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29056
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29057
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29058
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
29059
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29060
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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