Displaying 30141-30150 of 1611142 results.
ID:
30141
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30142
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30143
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30144
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30145
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30146
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30147
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30148
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30149
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30150
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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