Displaying 29341-29350 of 1611142 results.
ID:
29341
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29342
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29343
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29344
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29345
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29346
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29347
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
29348
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
29349
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29350
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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