Displaying 31381-31390 of 1611142 results.
ID:
31381
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31382
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31383
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31384
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31385
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31386
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31387
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31388
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31389
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31390
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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