Displaying 29711-29720 of 1611142 results.
ID:
29711
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29712
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29713
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29714
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29715
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29716
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29717
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29718
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29719
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
29720
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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