Displaying 29411-29420 of 1611142 results.
ID:
29411
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29412
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29413
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29414
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29415
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29416
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29417
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29418
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29419
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29420
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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