Displaying 30931-30940 of 1611142 results.
ID:
30931
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30932
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30933
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30934
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30935
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
30936
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
30937
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30938
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30939
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
30940
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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