Displaying 29981-29990 of 1611142 results.
ID:
29981
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29982
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29983
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29984
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29985
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29986
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29987
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29988
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
29989
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
29990
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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