Displaying 29401-29410 of 1611142 results.
ID:
29401
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29402
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29403
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29404
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29405
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29406
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29407
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29408
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29409
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29410
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
29401294022940329404294052940629407294082940929410