Displaying 31201-31210 of 1611142 results.
ID:
31201
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31202
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31203
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31204
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31205
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
31206
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
31207
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31208
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31209
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31210
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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