Displaying 29071-29080 of 1611142 results.
ID:
29071
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29072
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29073
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
29074
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29075
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29076
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29077
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29078
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
29079
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
180
ID:
29080
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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