Displaying 29111-29120 of 1611142 results.
ID:
29111
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29112
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29113
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29114
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29115
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29116
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29117
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29118
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29119
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29120
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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