Displaying 30751-30760 of 1611142 results.
ID:
30751
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30752
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30753
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30754
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30755
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30756
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30757
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30758
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30759
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30760
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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