Displaying 29231-29240 of 1611142 results.
ID:
29231
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29232
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29233
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29234
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29235
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29236
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29237
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29238
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29239
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
29240
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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