Displaying 30401-30410 of 1611142 results.
ID:
30401
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30402
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30403
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30404
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30405
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30406
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30407
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30408
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
30409
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30410
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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