Displaying 30781-30790 of 1611142 results.
ID:
30781
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30782
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30783
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30784
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30785
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
30786
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30787
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30788
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30789
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30790
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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