Displaying 30481-30490 of 1611142 results.
ID:
30481
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30482
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30483
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30484
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30485
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30486
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30487
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30488
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30489
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30490
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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