Displaying 30451-30460 of 1611142 results.
ID:
30451
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30452
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30453
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30454
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
30455
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
30456
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
30457
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
30458
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30459
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
30460
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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