Displaying 30361-30370 of 1611142 results.
ID:
30361
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30362
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30363
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30364
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30365
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30366
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30367
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30368
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30369
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30370
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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