Displaying 30611-30620 of 1611142 results.
ID:
30611
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30612
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30613
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30614
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30615
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30616
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30617
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30618
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30619
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30620
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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