Displaying 31251-31260 of 1611142 results.
ID:
31251
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31252
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31253
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31254
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
31255
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31256
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31257
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31258
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
31259
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31260
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
31251312523125331254312553125631257312583125931260