Displaying 29211-29220 of 1611142 results.
ID:
29211
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
29212
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
29213
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
29214
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29215
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29216
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29217
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29218
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29219
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29220
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
29211292122921329214292152921629217292182921929220