Displaying 29521-29530 of 1611142 results.
ID:
29521
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29522
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29523
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29524
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29525
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
29526
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29527
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
29528
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29529
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29530
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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