Displaying 30861-30870 of 1611142 results.
ID:
30861
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30862
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30863
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30864
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30865
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
30866
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
30867
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30868
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30869
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30870
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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