Displaying 30801-30810 of 1611142 results.
ID:
30801
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30802
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30803
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30804
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30805
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30806
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30807
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30808
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30809
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30810
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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