Displaying 29311-29320 of 1611142 results.
ID:
29311
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29312
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29313
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29314
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29315
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29316
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29317
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29318
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29319
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29320
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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