Displaying 30921-30930 of 1611142 results.
ID:
30921
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30922
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30923
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30924
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30925
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30926
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30927
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30928
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30929
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30930
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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