Displaying 30151-30160 of 1611142 results.
ID:
30151
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30152
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30153
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30154
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30155
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30156
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30157
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30158
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30159
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30160
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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