Displaying 31071-31080 of 1611142 results.
ID:
31071
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31072
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
31073
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
31074
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
31075
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31076
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31077
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
31078
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31079
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31080
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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