Displaying 30711-30720 of 1611142 results.
ID:
30711
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30712
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30713
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30714
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30715
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30716
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30717
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30718
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30719
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30720
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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