Displaying 30641-30650 of 1611142 results.
ID:
30641
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30642
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30643
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30644
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30645
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30646
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30647
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30648
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30649
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30650
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
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