Displaying 30341-30350 of 1611142 results.
ID:
30341
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30342
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30343
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30344
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30345
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30346
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30347
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30348
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30349
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30350
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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