Displaying 31421-31430 of 1611142 results.
ID:
31421
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31422
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31423
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31424
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31425
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31426
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31427
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31428
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31429
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31430
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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