Displaying 31581-31590 of 1611142 results.
ID:
31581
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31582
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31583
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31584
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
31585
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31586
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31587
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31588
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31589
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
31590
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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