Displaying 29271-29280 of 1611142 results.
ID:
29271
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
29272
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29273
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29274
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
29275
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29276
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
29277
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29278
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29279
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29280
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
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