Displaying 30331-30340 of 1611142 results.
ID:
30331
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30332
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30333
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30334
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30335
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30336
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30337
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
30338
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30339
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30340
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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