Displaying 30651-30660 of 1611142 results.
ID:
30651
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30652
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30653
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30654
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30655
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30656
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30657
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30658
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30659
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30660
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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