Displaying 30971-30980 of 1611142 results.
ID:
30971
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30972
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30973
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
30974
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
30975
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30976
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
30977
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
30978
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
30979
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
30980
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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