Displaying 30761-30770 of 1611142 results.
ID:
30761
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30762
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30763
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30764
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30765
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
30766
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30767
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30768
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30769
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30770
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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