Displaying 31101-31110 of 1611142 results.
ID:
31101
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
31102
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
31103
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
31104
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
31105
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
31106
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
31107
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
31108
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31109
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31110
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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