Displaying 29721-29730 of 1611142 results.
ID:
29721
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29722
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29723
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29724
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29725
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29726
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29727
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29728
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29729
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29730
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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