Displaying 31351-31360 of 1611142 results.
ID:
31351
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31352
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31353
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31354
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31355
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31356
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31357
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31358
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31359
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31360
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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