Displaying 30691-30700 of 1611142 results.
ID:
30691
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30692
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30693
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30694
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30695
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30696
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30697
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30698
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30699
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30700
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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