Displaying 30391-30400 of 1611142 results.
ID:
30391
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30392
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30393
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30394
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30395
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30396
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30397
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
30398
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30399
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30400
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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