Displaying 29261-29270 of 1611142 results.
ID:
29261
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
29262
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
29263
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
29264
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29265
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29266
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29267
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29268
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29269
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29270
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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