Displaying 30161-30170 of 1611142 results.
ID:
30161
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30162
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30163
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30164
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30165
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30166
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30167
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30168
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30169
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30170
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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