Displaying 29201-29210 of 1611142 results.
ID:
29201
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29202
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29203
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29204
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29205
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29206
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29207
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29208
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
29209
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
29210
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
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