Displaying 29251-29260 of 1611142 results.
ID:
29251
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29252
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29253
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29254
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29255
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29256
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29257
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
29258
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29259
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29260
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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