Displaying 29371-29380 of 1611142 results.
ID:
29371
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29372
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29373
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29374
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29375
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29376
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29377
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29378
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29379
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
29380
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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