Displaying 31131-31140 of 1611142 results.
ID:
31131
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
31132
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
31133
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31134
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31135
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31136
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31137
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31138
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31139
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31140
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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