Displaying 30081-30090 of 1611142 results.
ID:
30081
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30082
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30083
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30084
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30085
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30086
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30087
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30088
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
30089
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
30090
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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