Displaying 29241-29250 of 1611142 results.
ID:
29241
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
168
ID:
29242
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29243
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487076
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
29244
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29245
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29246
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
312
Qty Limit Days:
30
ID:
29247
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29248
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29249
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
29250
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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