Displaying 30061-30070 of 1611142 results.
ID:
30061
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30062
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30063
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30064
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
30065
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30066
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30067
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
30068
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30069
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30070
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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