Displaying 30851-30860 of 1611142 results.
ID:
30851
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30852
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30853
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30854
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30855
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30856
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30857
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30858
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
30859
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30860
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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