Displaying 31281-31290 of 1611142 results.
ID:
31281
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
31282
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
31283
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31284
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31285
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31286
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31287
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31288
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31289
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31290
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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