Displaying 30091-30100 of 1611142 results.
ID:
30091
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30092
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30093
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30094
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30095
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
30096
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30097
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30098
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30099
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30100
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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