Displaying 30671-30680 of 1611142 results.
ID:
30671
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30672
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30673
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30674
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
30675
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30676
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30677
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30678
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30679
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30680
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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