Displaying 29221-29230 of 1611142 results.
ID:
29221
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
29222
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
29223
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
29224
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
29225
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29226
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29227
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
29228
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
29229
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
29230
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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