Displaying 29291-29300 of 1611142 results.
ID:
29291
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29292
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29293
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
29294
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29295
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
29296
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29297
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29298
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29299
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29300
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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