Displaying 30351-30360 of 1611142 results.
ID:
30351
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30352
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30353
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30354
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30355
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30356
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30357
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30358
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30359
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30360
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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