Displaying 30511-30520 of 1611142 results.
ID:
30511
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30512
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30513
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30514
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30515
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30516
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30517
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30518
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30519
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30520
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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