Displaying 29781-29790 of 1611142 results.
ID:
29781
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29782
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29783
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29784
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29785
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
29786
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29787
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29788
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29789
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
29790
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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