Displaying 29131-29140 of 1611142 results.
ID:
29131
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29132
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29133
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29134
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29135
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29136
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29137
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29138
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
29139
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29140
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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