Displaying 31411-31420 of 1611142 results.
ID:
31411
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31412
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31413
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31414
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31415
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31416
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31417
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31418
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31419
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31420
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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