Displaying 30941-30950 of 1611142 results.
ID:
30941
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30942
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30943
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30944
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30945
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
30946
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30947
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
30948
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30949
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
30950
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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