Displaying 29831-29840 of 1611142 results.
ID:
29831
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29832
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
29833
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
29834
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
29835
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
29836
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
29837
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
29838
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29839
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
29840
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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