Displaying 29821-29830 of 1611142 results.
ID:
29821
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29822
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29823
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29824
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
29825
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29826
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29827
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29828
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29829
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29830
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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