Displaying 29631-29640 of 1611142 results.
ID:
29631
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29632
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29633
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29634
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29635
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29636
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29637
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29638
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29639
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29640
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
29631296322963329634296352963629637296382963929640