Displaying 30291-30300 of 1611142 results.
ID:
30291
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30292
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30293
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
30294
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
30295
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30296
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30297
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30298
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30299
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30300
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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