Displaying 30831-30840 of 1611142 results.
ID:
30831
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30832
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30833
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30834
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30835
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30836
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30837
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30838
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30839
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30840
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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