Displaying 30461-30470 of 1611142 results.
ID:
30461
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30462
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30463
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30464
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30465
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30466
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30467
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
30468
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
30469
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30470
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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