Displaying 31531-31540 of 1611142 results.
ID:
31531
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31532
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31533
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31534
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
31535
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31536
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31537
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31538
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31539
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31540
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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