Displaying 30731-30740 of 1611142 results.
ID:
30731
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30732
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30733
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30734
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30735
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30736
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30737
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30738
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30739
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30740
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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