Displaying 30811-30820 of 1611142 results.
ID:
30811
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30812
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30813
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30814
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30815
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30816
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
30817
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30818
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30819
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30820
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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