Displaying 31501-31510 of 1611142 results.
ID:
31501
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31502
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31503
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31504
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31505
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31506
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31507
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31508
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31509
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31510
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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