Displaying 30321-30330 of 1611142 results.
ID:
30321
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
30322
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
30323
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30324
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30325
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30326
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30327
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30328
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30329
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30330
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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