Displaying 30561-30570 of 1611142 results.
ID:
30561
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30562
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30563
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30564
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30565
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30566
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30567
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30568
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30569
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30570
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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