Displaying 31601-31610 of 1611142 results.
ID:
31601
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
31602
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
31603
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31604
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31605
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31606
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
31607
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
31608
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31609
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
31610
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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