Displaying 30661-30670 of 1611142 results.
ID:
30661
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30662
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30663
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30664
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30665
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30666
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30667
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30668
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30669
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30670
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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