Displaying 31401-31410 of 1611142 results.
ID:
31401
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
31402
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31403
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31404
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31405
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31406
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31407
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31408
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31409
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31410
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
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