Displaying 29701-29710 of 1611142 results.
ID:
29701
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29702
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29703
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29704
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29705
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29706
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29707
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29708
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29709
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
135
Qty Limit Days:
30
ID:
29710
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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