Displaying 30501-30510 of 1611142 results.
ID:
30501
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30502
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30503
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30504
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30505
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30506
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30507
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30508
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30509
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30510
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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