Displaying 29191-29200 of 1611142 results.
ID:
29191
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29192
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29193
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29194
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29195
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29196
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29197
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29198
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29199
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29200
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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