Displaying 31001-31010 of 1611142 results.
ID:
31001
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31002
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31003
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31004
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31005
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31006
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31007
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31008
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31009
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31010
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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