Displaying 30281-30290 of 1611142 results.
ID:
30281
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30282
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30283
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30284
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30285
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30286
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30287
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30288
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30289
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30290
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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