Displaying 30741-30750 of 1611142 results.
ID:
30741
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30742
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30743
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30744
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30745
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30746
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30747
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30748
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30749
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30750
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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