Displaying 30541-30550 of 1611142 results.
ID:
30541
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30542
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30543
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30544
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
30545
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30546
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30547
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30548
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
30549
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30550
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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