Displaying 31571-31580 of 1611142 results.
ID:
31571
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31572
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31573
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31574
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31575
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31576
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31577
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31578
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31579
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31580
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
31571315723157331574315753157631577315783157931580