Displaying 30041-30050 of 1611142 results.
ID:
30041
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30042
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
30043
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30044
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30045
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30046
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30047
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30048
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30049
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30050
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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