Displaying 29431-29440 of 1611142 results.
ID:
29431
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29432
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
29433
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
29434
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29435
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29436
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29437
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29438
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29439
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29440
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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