Displaying 30001-30010 of 1611142 results.
ID:
30001
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30002
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30003
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30004
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
30005
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30006
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30007
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30008
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30009
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30010
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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