Displaying 29181-29190 of 1611142 results.
ID:
29181
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29182
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29183
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29184
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29185
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29186
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29187
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
29188
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
29189
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29190
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
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