Displaying 29761-29770 of 1611142 results.
ID:
29761
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
29762
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29763
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29764
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29765
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29766
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29767
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29768
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29769
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29770
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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