Displaying 31341-31350 of 1611142 results.
ID:
31341
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31342
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31343
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
31344
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
31345
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
31346
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31347
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31348
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31349
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31350
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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