Displaying 31121-31130 of 1611142 results.
ID:
31121
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31122
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31123
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31124
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31125
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31126
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31127
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31128
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31129
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31130
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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