Displaying 30621-30630 of 1611142 results.
ID:
30621
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30622
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30623
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30624
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30625
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30626
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30627
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
30628
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30629
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
30630
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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