Displaying 30471-30480 of 1611142 results.
ID:
30471
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30472
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30473
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30474
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30475
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30476
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30477
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30478
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30479
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30480
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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