Displaying 29331-29340 of 1611142 results.
ID:
29331
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29332
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29333
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29334
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29335
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
29336
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29337
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29338
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
29339
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
29340
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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