Displaying 30911-30920 of 1611142 results.
ID:
30911
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30912
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
30913
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30914
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30915
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30916
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30917
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30918
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
30919
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30920
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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