Displaying 30311-30320 of 1611142 results.
ID:
30311
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30312
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30313
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30314
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30315
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30316
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30317
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30318
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30319
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
30320
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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