Displaying 29151-29160 of 1611142 results.
ID:
29151
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29152
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29153
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29154
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29155
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
29156
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
29157
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29158
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
29159
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29160
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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