Displaying 29321-29330 of 1611142 results.
ID:
29321
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29322
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29323
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29324
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29325
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29326
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29327
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29328
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29329
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29330
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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