Displaying 30841-30850 of 1611142 results.
ID:
30841
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30842
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30843
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30844
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30845
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30846
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30847
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30848
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30849
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
30850
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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