Displaying 31491-31500 of 1611142 results.
ID:
31491
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
31492
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
ID:
31493
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
31494
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
31495
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
31496
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31497
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31498
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31499
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31500
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
31491314923149331494314953149631497314983149931500