Displaying 30771-30780 of 1611142 results.
ID:
30771
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
30772
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30773
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30774
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
30775
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
30776
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
30777
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30778
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30779
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30780
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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