Displaying 30581-30590 of 1611142 results.
ID:
30581
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30582
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30583
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30584
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30585
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30586
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
30587
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30588
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30589
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30590
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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