Displaying 31391-31400 of 1611142 results.
ID:
31391
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31392
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31393
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31394
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31395
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31396
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
31397
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
31398
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31399
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
31400
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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