Displaying 29541-29550 of 1611142 results.
ID:
29541
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
29542
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29543
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29544
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29545
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29546
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29547
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29548
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29549
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29550
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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